HIV/AIDS management: the roles of physiotherapy

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dc.contributor.authorMunishi, M
dc.contributor.authorFrantz, Jose M.
dc.contributor.authorStruthers, Patricia
dc.date.accessioned2017-05-02T13:23:08Z
dc.date.available2017-05-02T13:23:08Z
dc.date.issued2009
dc.description.abstractBACKGROUND: HIV/AIDS is a major health problem that has affected many people globally and it is the primary cause of death in Sub-Saharan Africa. Approximately 68% of the global total i.e. 22.5 million people living with HIV/AIDS (PLWHA) are in Sub-Saharan Africa. With antiretroviral therapy, PLWHA now live longer and present with various opportunistic neuro-musculo-skeletal and cardio-pulmonary conditions. PURPOSE: To explore the global, regional and local existing literature concerning knowledge, attitude and roles of physiotherapy in the management of PLWHA. METHOD: A retrospective search of articles published between January 1990 and March 2008. Outcome measures: Documented information concerning physiotherapy management of PLWHA, including physiotherapists' knowledge and attitudes, based on inclusion criteria. RESULTS: The search yielded 17 reviews of good or reasonable quality. Physiotherapy rehabilitation can address impairment and activity limitation. There is some evidence that aerobic training with a progressive exercise component is effective in improving the cardio-vascular system, distribution of adipose tissue and on quality of life. There is evidence that ice or dry-towel massage has a positive effect on neuropathic pain. Evidence from case studies suggests that joint mobilization, soft tissue mobilization, stretching, and the use of micro-current, pressure garments and orthotics may be effective. There was no evidence of the effect of other physiotherapy roles mentioned including chest physiotherapy, counseling and health education. CONCLUSION: There is some evidence that exercise is safe and beneficial to PLWHA. Further studies are needed to determine if other physiotherapy techniques are effective for treating PLWHA.en_US
dc.identifier.citationMunishi, M. et al. (2009). HIV/AIDS management: the roles of physiotherapy. Journal of Community and Health Sciences, 4(1): 27-35en_US
dc.identifier.issn1990-9403
dc.identifier.urihttp://hdl.handle.net/10566/2774
dc.identifier.urihttp://jchs.epubs.ac.za/index.php/jchs/article/view/44/38
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherUniversity of the Western Capeen_US
dc.rightsThis journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
dc.status.ispeerreviewedTRUE
dc.subjectPhysiotherapy managementen_US
dc.subjectHIV/AIDSen_US
dc.subjectPhysiotherapy challengesen_US
dc.subjectTreatmenten_US
dc.subjectExercisesen_US
dc.titleHIV/AIDS management: the roles of physiotherapyen_US
dc.typeArticleen_US

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